Testosterone therapy masculinizes speech and gender presentation in transgender men
Abstract Voice is one of the most noticeably dimorphic traits in humans and plays a central role in gender presentation. Transgender males seeking to align internal identity and external gender expression frequently undergo testosterone (T) therapy to masculinize their voices and other traits. We ai...
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Nature Portfolio
2021
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oai:doaj.org-article:cef9f2ee96b1483080cb37b9d29ff97d2021-12-02T14:26:55ZTestosterone therapy masculinizes speech and gender presentation in transgender men10.1038/s41598-021-82134-22045-2322https://doaj.org/article/cef9f2ee96b1483080cb37b9d29ff97d2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82134-2https://doaj.org/toc/2045-2322Abstract Voice is one of the most noticeably dimorphic traits in humans and plays a central role in gender presentation. Transgender males seeking to align internal identity and external gender expression frequently undergo testosterone (T) therapy to masculinize their voices and other traits. We aimed to determine the importance of changes in vocal masculinity for transgender men and to determine the effectiveness of T therapy at masculinizing three speech parameters: fundamental frequency (i.e., pitch) mean and variation (f o and f o-SD) and estimated vocal tract length (VTL) derived from formant frequencies. Thirty transgender men aged 20 to 40 rated their satisfaction with traits prior to and after T therapy and contributed speech samples and salivary T. Similar-aged cisgender men and women contributed speech samples for comparison. We show that transmen viewed voice change as critical to transition success compared to other masculine traits. However, T therapy may not be sufficient to fully masculinize speech: while f o and f o-SD were largely indistinguishable from cismen, VTL was intermediate between cismen and ciswomen. f o was correlated with salivary T, and VTL associated with T therapy duration. This argues for additional approaches, such as behavior therapy and/or longer duration of hormone therapy, to improve speech transition.Carolyn R. Hodges-SimeonGraham P. O. GrailGraham AlbertMatti D. GrollCara E. SteppJustin M. CarréSteven A. ArnockyNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021) |
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Medicine R Science Q Carolyn R. Hodges-Simeon Graham P. O. Grail Graham Albert Matti D. Groll Cara E. Stepp Justin M. Carré Steven A. Arnocky Testosterone therapy masculinizes speech and gender presentation in transgender men |
description |
Abstract Voice is one of the most noticeably dimorphic traits in humans and plays a central role in gender presentation. Transgender males seeking to align internal identity and external gender expression frequently undergo testosterone (T) therapy to masculinize their voices and other traits. We aimed to determine the importance of changes in vocal masculinity for transgender men and to determine the effectiveness of T therapy at masculinizing three speech parameters: fundamental frequency (i.e., pitch) mean and variation (f o and f o-SD) and estimated vocal tract length (VTL) derived from formant frequencies. Thirty transgender men aged 20 to 40 rated their satisfaction with traits prior to and after T therapy and contributed speech samples and salivary T. Similar-aged cisgender men and women contributed speech samples for comparison. We show that transmen viewed voice change as critical to transition success compared to other masculine traits. However, T therapy may not be sufficient to fully masculinize speech: while f o and f o-SD were largely indistinguishable from cismen, VTL was intermediate between cismen and ciswomen. f o was correlated with salivary T, and VTL associated with T therapy duration. This argues for additional approaches, such as behavior therapy and/or longer duration of hormone therapy, to improve speech transition. |
format |
article |
author |
Carolyn R. Hodges-Simeon Graham P. O. Grail Graham Albert Matti D. Groll Cara E. Stepp Justin M. Carré Steven A. Arnocky |
author_facet |
Carolyn R. Hodges-Simeon Graham P. O. Grail Graham Albert Matti D. Groll Cara E. Stepp Justin M. Carré Steven A. Arnocky |
author_sort |
Carolyn R. Hodges-Simeon |
title |
Testosterone therapy masculinizes speech and gender presentation in transgender men |
title_short |
Testosterone therapy masculinizes speech and gender presentation in transgender men |
title_full |
Testosterone therapy masculinizes speech and gender presentation in transgender men |
title_fullStr |
Testosterone therapy masculinizes speech and gender presentation in transgender men |
title_full_unstemmed |
Testosterone therapy masculinizes speech and gender presentation in transgender men |
title_sort |
testosterone therapy masculinizes speech and gender presentation in transgender men |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/cef9f2ee96b1483080cb37b9d29ff97d |
work_keys_str_mv |
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